Quality
Home / Quality / Patient Safety / Reportable Adverse Events / Summary of Reportable Serious Adverse Events
Summary of Reportable Serious Adverse Events

All Indiana Hospitals are required to report the following events to the Indiana State Department of Health and indicate the corrective action taken. The state will issue annual reports summarizing the events at each hospital.

Surgical Events

  • Surgery performed on a wrong body part
  • Surgery performed on the wrong patient
  • The wrong surgical procedure performed on a patient
  • Foreign objects left in a patient after surgery or other invasive procedure
  • Death during or immediately after surgery of a normal, healthy patient (ASA Class I)

Product or Device Events

Patient death or serious disability associated with:

  • The use of contaminated drugs, devices, or biologics provided by the facility
  • The use or function of a device in patient care in which the device is used or functions other than as intended
  • An intravascular air embolism that occurs while being cared for in a facility

Patient Protection Events

  • An infant discharged to the wrong person
  • Patient death or serious disability associated with patient elopement (i.e. disappearance)
  • Patient suicide or attempted suicide resulting in serious disability while being cared for in a healthcare facility

Care Management Events

  • Patient death or serious disability:
    • Associated with a medication error
    • Associated with a hemolytic reaction due to incompatible blood or blood products
    • Associated with hypoglycemia, the onset of which occurs in the facility
    • Associated with hyperbilirubinemia in newborn infants
    • Due to joint movement therapy
  • Maternal death or serious disability associated with labor or delivery in a low-risk pregnancy while being cared for in the hospital
  • Stages 3 or 4 pressure ulcers acquired after admission to a facility

Environmental Events

  • Patient death or serious disability associated with:
    • An electric shock while being cared for in a facility
    • A burn incurred while being care for in a facility
    • The use of restraints or bedrails while being cared for in a facility
  • Patient death associated with a fall while being cared for in a facility
  • Any incident in which a line designated for oxygen or other gas to be delivered to a patient contains the wrong gas or is contaminated by toxic substances

Criminal Events

  • Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed health care professional
  • Abduction of a patient of any age
  • Sexual assault on a patient within or on the grounds of a facility
  • Death or significant injury of a patient or staff member resulting from a physical assault that occurs within or on the grounds of a facility